Informed Consent Form

Informed Consent Form

Participant’s name:

I authorize Dean Davey under the supervision of Dr. Orbelina Eguizabal of the Ph.D. in the
Christian Ministries and Leadership Department at Biola University, La Mirada, California, to
gather information from me on the topic of my pastoral experiences, the suffering of failure, and
the impact on my spiritual formation.
I understand that the general purposes of the research are educational and seek to ascertain my
perspective on how experiences in pastoral ministry impacted my life, particularly involving
moral descent (i.e. a ministry failure), and the corresponding results that ensued. I understand I
will be asked a series of questions via a personal interview and that the approximate total time of
my involvement will be 90 minutes. I understand that the interview will only be audio recorded
with my consent.
The potential benefits of the study are the opportunity to reflect on and share regarding
meaningful life circumstances, as well as contribute to the ongoing scholarship for the
improvement of pastoral well-being, and better understanding what factors contribute to a
restorative approach when facing situations of failure. I am also aware that I will receive a
Starbucks gift card as a token of appreciation for participating, even if I choose to withdraw from
the study.
I am aware that I may choose not to answer any questions that I find embarrassing or offensive.

I understand that my participation is voluntary and that I may refuse to participate or discontinue
my participation at any time without penalty or loss of benefits to which I am otherwise entitled.
I understand that if, after my participation, I experience any undue anxiety or stress or have
questions about the research or my rights as a participant that may have been provoked by the
experience, Dean Davey will be available for consultation, and will also be available to provide
direction regarding medical assistance in the unlikely event that physical injury is incurred
during participation in the research.
Confidentiality of research results will be maintained by the researcher. My individual results
will not be released without my written consent.

Signature: Date:

I consent to being audio recorded.

Signature: Date:

There are two copies of this consent form included. Please sign one and return it to the researcher with your
responses. The other copy you may keep for your records.
Questions and comments may be addressed to Dean Davey; 15030 66A Avenue, Surrey, BC, V3S2A5, Canada;
Phone: 604.363.8395; ddavey@pacificlife.edu.